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NPI Code Detail

MEDICARE: ADDUS HEALTHCARE (NORTH CAROLINA), INC.

MEDICARE: ADDUS HEALTHCARE (NORTH CAROLINA), INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHC1798NC

General Provider Information

NPI Number : 1538324017
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDUS HEALTHCARE (NORTH CAROLINA), INC.
Provider Business Mailing Address
First Line : 2300 WARRENVILLE RD
Second Line : SUITE 100
City : DOWNERS GROVE
State : IL
Zip : 60515-1765
Country : US
Telephone Number : 630-296-3400
Fax Number : 630-487-2713
Provider Business Practice Location Address
First Line : 10130 PERIMETER PKWY
Second Line : SUITE 205
City : CHARLOTTE
State : NC
Zip : 28216-2447
Country : US
Telephone Number : 800-579-6331
Fax Number : 803-980-4365
Authorized Official
Title or Position : NATIONAL CONTRACTS
Name : MS. DIANE KUMARICH
Credential : RN, MS, MBA
Telephone Number : 630-296-3400
Provider Enumeration Date : 07/23/2008
Last Update Date : 08/04/2015

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